Moderate psychological distress as a barrier to breast cancer screening among women

Objective: To examine the relationship between Breast Cancer Screening (BCS) and Moderate Psychological Distress (MPD). Also, to assess the effect of aggregating women with No Psychological Distress (NPD) and MPD into one group, as done in prior studies when evaluating the relationship between BCS and Psychological Distress (PD).Methods: The study population comprised of 34,565 women aged 50-74 years who participated in the National Health Interview Survey from 2013 to 2017. The Kessler-6 PD index score (0-24) was dichotomized (0-12: NPD; > 13: Severe Psychological Distress SPD) and trichotomized (0-5: NPD; 5-12: MPD; > 13 SPD). Two multivariate logistic regressions were conducted for the dichotomous and trichotomous PD categories. Andersen’s Behavioral Model of Health Services Use guided the choice of covariates. Data analysis was conducted using SAS version 9.4.Results: Our study showed 4.6% had SPD, and 17.9% had MPD. The latter group (MPD) was included in the NPD group in the dichotomous analysis. In the dichotomous analysis, women with SPD (adjusted Odds Ratio (aOR) = 0.71, 95% CI = 0.63, 0.81, p < .00001) were less likely to have received a mammogram than those with NPD. In the trichotomous model, women with SPD (aOR = 0.76, 95% CI = 0.67, 0.87, p = .0001) and MPD (aOR = 0.84, 95% CI = 0.78, 0.91, p <.00001) were both less likely to have had a mammogram than those with NPD.Conclusions: Prior studies that included individuals with MPD among those with NPD overestimated the effect of SPD on mammography and minimized the importance of targeting women with MPD along with those that have SPD to enhance the uptake of mammography.

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Evaluation of the relationship between health belief of breast cancer screening and health anxiety; A cross-sectional study

Medicine Science | International Medical Journal ◽

10.5455/medscience.2018.07.8935 ◽

2018 ◽

pp. 1

Author(s):

Meryem Askın ◽

Esra Koc ◽

Merve Ates ◽

Mehmet Arslan ◽

GizemnDag GizemnDag ◽

...

Keyword(s):

Breast Cancer ◽

Cancer Screening ◽

Breast Cancer Screening ◽

Health Anxiety ◽

Health Belief ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

The Relationship

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Psychological Distress and the Use of Clinical Preventive Services by Community-Dwelling Older Adults

Journal of Applied Gerontology ◽

10.1177/0733464817693376 ◽

2017 ◽

Vol 38 (5) ◽

pp. 599-616 ◽

Cited By ~ 1

Author(s):

Szu-Hsuan Lin ◽

Omolola E. Adepoju ◽

Bita A. Kash ◽

Bethany DeSalvo ◽

Darcy K. McMaughan

Keyword(s):

Breast Cancer ◽

Older Adults ◽

Psychological Distress ◽

Cancer Screening ◽

Breast Cancer Screening ◽

Emotional Health ◽

Preventive Services ◽

Community Dwelling ◽

Clinical Preventive Services ◽

Community Dwelling Older Adults

In this study, we explored whether psychological distress plays a role in the use of recommended clinical preventive services among community-dwelling older adults. The sample is drawn from respondents 65 years and older who participated in the 2011 Medical Expenditure Panel Survey (MEPS). Logistic regressions with selected covariates were entered in the model to estimate odds ratios (OR) with 95% confidence interval (CI) for the independent effect of psychological distress on the utilization of each of five preventive services. With the exception of breast cancer screening where the uptake of preventive services was significantly lower for older adults with psychological distress (OR = 0.57, p < .001), uptake of other key preventive measures revealed no significant utilization differences between older adults with and without psychological distress. The results suggest that adherence to breast cancer screening guidelines may be increased by improving recognition and treatment of emotional health problems in older women.

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Change in Breast Cancer Screening Knowledge is Associated With Change in Mammogram Intention in Mexican-Origin Women After an Educational Intervention

Breast Cancer Basic and Clinical Research ◽

10.1177/1178223418782904 ◽

2018 ◽

Vol 12 ◽

pp. 117822341878290

Author(s):

Jennifer J Salinas ◽

Theresa Byrd ◽

Charmaine Martin ◽

Alok K Dwivedi ◽

Adam Alomari ◽

...

Keyword(s):

Breast Cancer ◽

Cancer Screening ◽

Breast Cancer Screening ◽

Perceived Risk ◽

El Paso ◽

Intervention Group ◽

Mexican Origin ◽

First Child ◽

To Receive ◽

The Relationship

Purpose: To determine the relationship between breast cancer screening knowledge and intent to receive a mammogram within 6 months in a sample of Mexican-origin women living in El Paso, Texas. Methods: A total of 489 uninsured Mexican-origin women were assigned to treatment or control and completed surveys at pre- and postintervention. Pre-post associations between breast cancer screening knowledge and intent were tested. Results: Participants were on average were 56.7 years of age and spoke primarily Spanish (92.6%). Most of the samples had not had a mammogram in 3 or more years (51.6%) and 14.6% had never had a mammogram. At baseline, the majority intended to be screened for breast cancer within the next 6 months (93.4%). At postintervention, half of the intervention group changed their 6-month intent to be screened for breast cancer from likely to unlikely. Change in intent was associated with a change in knowledge of risk of having a first child by the age of 30 and breast cancer being rare after the age of 70. Discussion: Intent to be screened for breast cancer in Mexican-origin women may be influenced by the type of knowledge. Conclusions: Change in screening knowledge may influence perceived risk that influences intention to be screened.

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Relationship between dementia severity in older women and family caregivers’ preferences for shared decision making about breast cancer screening

Proceedings of IMPRS ◽

10.18060/25923 ◽

2021 ◽

Vol 4 (1) ◽

Author(s):

Molly Frank ◽

Nicole Fowler

Keyword(s):

Breast Cancer ◽

Decision Making ◽

Cancer Screening ◽

Breast Cancer Screening ◽

Shared Decision Making ◽

Family Caregiver ◽

Standard Of Care ◽

Shared Decision ◽

Dementia Severity ◽

The Relationship

Background/Objective: Mammography is one of the most effective ways to diagnose breast cancer early; however, its perceived benefits are complicated by terminal conditions such as dementia. By undergoing mammography, women with dementia risk treatment complications and false-positive results, which can exacerbate psychological distress. The lack of a standard of care confounds the individual roles of the patient, family caregiver, and physician in the decision-making process. This study evaluates the relationship between dementia severity and family caregiver preferences for shared decision making. Methods: Data were gathered from the Decisions about Cancer screening in Alzheimer’s Disease trial, which uses the Dementia Severity Rating Scale (DSRS) and a revised version of the Control Preferences Scale (CPS) to assess family caregiver preferences for decision-making as a dyad (patient and caregiver) and triad (patient, caregiver, and physician). Two multinomial logistic regression models assessed the relationship between DSRS and CPS categories (active, passive, and collaborative), while controlling for the caregivers’ age, gender, education, relationship to patient, self-perceived income, and race. Both models used the “active” group as the baseline; however, Model 1 examined preferences as a dyad and Model 2 as a triad. Results: Model 1 found a statistically significant association between dementia severity and a collaborative approach (p<0.001), and between dementia severity and a passive approach (p=0.014). For every one-unit increase in DSRS score, the odds of being in the collaborative group decreased by 0.083 and the odds of being in the passive group decreased by 0.085. There was no statistically significant association between dementia severity and decision-making preferences in Model 2. Clinical Significance: The association between dementia severity and family caregiver decision-making preferences supports the need for a standard of care regarding breast cancer screening in women with dementia.

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Effect of an intervention on the breast cancer screening behavior in women: Application of integrated behavioral model

International Journal of Preventive Medicine ◽

10.4103/ijpvm.ijpvm_147_17 ◽

2018 ◽

Vol 9 (1) ◽

pp. 99 ◽

Cited By ~ 1

Author(s):

Sakineh Rakhshanderou ◽

Mohtasham Ghaffari ◽

TaherehNabavi Rad ◽

Samira Mohammadi

Keyword(s):

Breast Cancer ◽

Cancer Screening ◽

Breast Cancer Screening ◽

Behavioral Model ◽

Integrated Behavioral Model ◽

Screening Behavior

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Geographical and socioeconomic differences in uptake of Pap test and mammography in Italy: results from the National Health Interview Survey

BMJ Open ◽

10.1136/bmjopen-2018-021653 ◽

2018 ◽

Vol 8 (9) ◽

pp. e021653 ◽

Cited By ~ 3

Author(s):

Alessio Petrelli ◽

Paolo Giorgi Rossi ◽

Lisa Francovich ◽

Barbara Giordani ◽

Anteo Di Napoli ◽

...

Keyword(s):

Breast Cancer ◽

Cancer Screening ◽

Breast Cancer Screening ◽

National Health ◽

National Health Interview Survey ◽

Pap Test ◽

Health Interview Survey ◽

Screening Uptake ◽

Interview Survey ◽

Italian National Health

ObjectiveThe Italian National Health Service instituted cervical and breast cancer screening programmes in 1999; the local health authorities have a mandate to implement these screening programmes by inviting all women aged 25–64 years for a Pap test every 3 years (or for an Human Papilloma Virus (HPV) test every 5 years) and women aged 50–69 years for a mammography every 2 years. However, the implementation of screening programmes throughout the country is still incomplete. This study aims to: (1) describe cervical and breast cancer screening uptake and (2) evaluate geographical and individual socioeconomic difference in screening uptake.MethodsData both from the Italian National Health Interview Survey (NHIS) conducted by the National Institute of Statistics in 2012–2013 and from the Italian National Centre for Screening Monitoring (INCSM) were used. The NHIS interviewed a national representative random sample of 32 831 women aged 25–64 years and of 16 459 women aged 50–69 years. Logistic multilevel models were used to estimate the effect of socioeconomic variables and behavioural factors (level 1) on screening uptake. Data on screening invitation coverage at the regional level, taken from INCSM, were used as ecological (level 2) covariates.ResultsTotal 3-year Pap test and 2-year mammography uptake were 62.1% and 56.4%, respectively; screening programmes accounted for 1/3 and 1/2 of total test uptake, respectively. Strong geographical differences were observed. Uptake was associated with high educational levels, healthy behaviours, being a former smoker and being Italian versus foreign national. Differences in uptake between Italian regions were mostly explained by the invitation coverage to screening programmes.ConclusionsThe uptake of both screening programmes in Italy is still under acceptable levels. Screening programme implementation has the potential to reduce the health inequalities gap between regions but only if uptake increases.

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